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Case Reports
. 2018 Mar 9:18:50-51.
doi: 10.1016/j.eucr.2018.03.005. eCollection 2018 May.

Vesical fungus balls (fungal bezoars) by Candida albicans mimicking urothelial carcinoma in a patient with diabetic neurogenic bladder

Kosuke Takemura  1   2 , Ryoji Takazawa  1 , Yusuke Kohno  1 , Satoshi Yoshida  1 , Hiroyuki Kato  3 , Toshihiko Tsujii  1
Affiliations
Case Reports

Vesical fungus balls (fungal bezoars) by Candida albicans mimicking urothelial carcinoma in a patient with diabetic neurogenic bladder

Kosuke Takemura et al. Urol Case Rep. .
No abstract available

Keywords: Candida albicans; Diabetes complications; Magnetic resonance imaging; Urinary bladder.

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Figures

Fig. 1
Fig. 1
Magnetic resonance imaging findings of the pre-therapeutic urinary bladder lesion are shown. The lesion showed hypointensity for the most part despite a small portion with hyperintensity indicating necrotic portion (arrowed) on T2WI, T2-weighted imaging; enhancement on +Gd, Gadolinium-enhanced imaging; restriction on DWI, diffusion-weighted imaging; a low value on ADC, apparent diffusion coefficient mapping.
Fig. 2
Fig. 2
Microscopic photographs of the resected tissues are shown. Hyphae of Candida albicans were observed among degenerated epithelial cells (upper left panel; H&E, hematoxylin and eosin stain). Nuclei of the background urinary bladder epithelial cells were enlarged and irregular; however, structural atypia did not reach the degree seen in cancer cells (upper right panel). Moreover, CK20-positivity was limited in the cytoplasm of umbrella cells (lower left panel) and p53-positivity was weak in the nuclei of basal cells (lower right panel).
Fig. 3
Fig. 3
Magnetic resonance imaging findings of the post-therapeutic urinary bladder lesion are shown. There was no mass lesion observed in the bladder on T2WI, T2-weighted imaging; nor was there significant enhancement of the thickening wall of the bladder on +Gd, Gadolinium-enhanced imaging.
See this image and copyright information in PMC

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